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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Developing community-driven quality improvement initiatives to enhance chronic disease care in Indigenous communities in Canada: The FORGE AHEAD program protocol
Health Research Policy and Systems, Volume 14, No. 1, Article 55, Year 2016
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Description
Background: Given the dramatic rise and impact of chronic diseases and gaps in care in Indigenous peoples in Canada, a shift from the dominant episodic and responsive healthcare model most common in First Nations communities to one that places emphasis on proactive prevention and chronic disease management is urgently needed. Methods: The Transformation of Indigenous Primary Healthcare Delivery (FORGE AHEAD) Program partners with 11 First Nations communities across six provinces in Canada to develop and evaluate community-driven quality improvement (QI) initiatives to enhance chronic disease care. FORGE AHEAD is a 5-year research program (2013-2017) that utilizes a pre-post mixed-methods observational design rooted in participatory research principles to work with communities in developing culturally relevant innovations and improved access to available services. This intensive program incorporates a series of 10 inter-related and progressive program activities designed to foster community-driven initiatives with type 2 diabetes mellitus as the action disease. Preparatory activities include a national community profile survey, best practice and policy literature review, and readiness tool development. Community-level intervention activities include community and clinical readiness consultations, development of a diabetes registry and surveillance system, and QI activities. With a focus on capacity building, all community-level activities are driven by trained community members who champion QI initiatives in their community. Program wrap-up activities include readiness tool validation, cost-analysis and process evaluation. In collaboration with Health Canada and the Aboriginal Diabetes Initiative, scale-up toolkits will be developed in order to build on lessons-learned, tools and methods, and to fuel sustainability and spread of successful innovations. Discussion: The outcomes of this research program, its related cost and the subsequent policy recommendations, will have the potential to significantly affect future policy decisions pertaining to chronic disease care in First Nations communities in Canada. Trial registration: Current ClinicalTrial.gov protocol ID NCT02234973. Date of Registration: July 30, 2014. © 2016 The Author(s).
Authors & Co-Authors
Thind, Amardeep Singh
Canada, London
Western University
Wylie, Lloy
Canada, London
Western University
Zwarenstein, Merrick F.
Canada, London
Western University
Hanley, Anthony J.G.
Canada, Toronto
University of Toronto
Macaulay, Ann
Canada, Montreal
Université Mcgill
Salsberg, Jon
Canada, Montreal
Université Mcgill
Tobe, Sheldon W.
Canada, Toronto
Sunnybrook Health Sciences Centre
Bailie, Ross Stewart
Australia, Darwin
Menzies School of Health Research
Rac, Valeria E.
Canada, Toronto
Toronto Health Economics and Technology Assessment Collaborative University of Toronto
Statistics
Citations: 18
Authors: 9
Affiliations: 16
Identifiers
Doi:
10.1186/s12961-016-0127-y
ISSN:
14784505
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Systematic review